Taylor, Michael M

Taylor, Michael M is an individual health care provider with primary practice located at 4 Memorial Drive Ste 130B, Alton IL 62002-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Taylor, Michael M can be contacted via phone (618) 463-7600.

Contact Information

Primary practice address
4 Memorial Drive Ste 130B Alton IL 62002-4707
Fax: (618) 463-7601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036.057070 Illinois

Profile Details

NPI number 1730250051
LBN Legal business name Taylor, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated May 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730250051 NPPES
Illinois MEDICAID 336021726

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